2023-08-29T15:37:31-05:00 2022-12-31 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-01-01 571092940 AFFINITY HEALTH CENTER AFFI 8039096363 455 LAKESHORE PARKWAY ROCK HILL SC 29730 ANITA CASE CEO 8039096363 2023-08-29 1 ANITA CASE 999009999 1 AMY BIBBY P00445891 8282542254 2023-08-29 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z ANITA CASE 455 LAKESHORE PARKWAY ROCK HILL SC 29730 23783850 0 X AFFINITYHEALTHCENTER.ORG X 2000 SC TO PROVIDE HIGH-QUALITY COMPREHENSIVE HEALTHCARE WITH COMPASSION, DIGNITY AND RESPECT. 13 13 112 17 0 0 5903475 7220310 14653441 16495661 602 662 96627 67217 20654145 23783850 1313950 1559219 0 0 5811686 6040780 0 0 8619 12830844 13885082 19956480 21485081 697665 2298769 21220850 22604250 3647242 3327863 17573608 19276387 TO PROVIDE HIGH-QUALITY COMPREHENSIVE HEALTHCARE WITH COMPASSION, DIGNITY AND RESPECT. 0 0 18987708 1492274 16495661 HEALTHCARE IS PROVIDED IN A DIGNIFIED, COMPASSIONATE MANNER. WITH THE ACCESS TO QUALITY CARE, PATIENTS CAN LIVE LONGER AND HEALTHIER LIVES. HEALTHCARE SERVICES AT AFFINITY HEALTH CENTER INCLUDE 1) PRIMARY CARE, 2) HIV SPECIALTY CARE, 3) ORAL HEALTH CARE, 4) BEHAVIORAL HEALTH SERVICES, 5) DENTAL CARE, AND 6) SPECIALTY CARE REFERRALS. AHC HEALTHCARE SERVICES ARE PROVIDED WITHOUT REGARD FOR ABILITY TO PAY, AND CHARGES ARE BASED ON A SLIDING FEE SCALE. 1158831 66945 SUPPORT SERVICES ARE INTENDED TO HELP PATIENTS ENGAGE IN AND REMAIN ENGAGED IN MEDICAL TREATMENT AND TO ASSIST THEM WITH REDUCING ANY BARRIERS TO CARE. SERVICES INCLUDE 1) MEDICAL CASE MANAGEMENT AND CARE COORDINATION, 2) HEALTH EDUCATION, 3) OUTREACH TO THOSE OUT OF CARE, 4) EDUCATIONAL AND THERAPEUTIC SUPPORT GROUPS, 5) REFERRAL SERVICES AND ASSISTANCE WITH ACCESSING PUBLIC BENEFITS, 6) HOUSING SERVICES, 7) TRANSPORTATION ASSISTANCE TO MEDICAL APPOINTMENTS, 8) FOOD ASSISTANCE, AND 9) INTERPRETING SERVICES. ALL SUPPORT SERVICES ARE PROVIDED AT NO COST TO THE PATIENT. 343592 AFFINITY HEALTH CENTER (AHC) PROVIDES HEALTH EDUCATION SERVICES TO THE COMMUNITY WHICH INCLUDE INFORMATION ABOUT HIV AND OTHER SEXUALLY TRANSMITTED DISEASES. AHC PROVIDED FREE, CONFIDENTIAL, RAPID (20 MINUTE) HIV AND HEPATITIS C SCREENING AS WELL AS FREE SCREENINGS FOR OTHER SEXUALLY TRANSMITTED DISEASES. AHC ASSISTS WITH ACCESSING PREP SERVICES TO PREVENT HIV. AHC HAS A PEER PROGRAM THAT UTILIZES PEOPLE LIVING WITH HIV TO PROVIDE SUPPORT TO OTHERS LIVING WITH THIS DISEASE, HIV. ALL PREVENTION SERVICES ARE PROVIDED AT NO COST TO THE RECIPIENT. 20490131 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 28 0 1 112 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X X X BRYAN C MARTIN 8039096363 455 LAKESHORE PARKWAY ROCK HILL SC 29730 RONNIE DUNCAN BOARD CHAIR 1.00 X X 0 0 0 JARVIS HAMLIN BOARD VICE-CHAIR 1.00 X X 0 0 0 JENNIFER MCDANIEL BOARD SECRETARY 1.00 X X 0 0 0 SUZANNE WRIGHT BOARD TREASURER 1.00 X X 0 0 0 DAPHNE CARTER DIRECTOR 1.00 X 0 0 0 STEPHEN COOLEY DIRECTOR 1.00 X 0 0 0 DWIGHT BURNS DIRECTOR 1.00 X 0 0 0 SALLY BAKER DIRECTOR 1.00 X 0 0 0 TED GARCIA DIRECTOR 1.00 X 0 0 0 ANTHONY HILL DIRECTOR 1.00 X 0 0 0 JOE'TERRIOUS NEAL DIRECTOR 1.00 X 0 0 0 AMY NEWTON DIRECTOR 1.00 X 0 0 0 ADALI GUTIERREZ PEREZ DIRECTOR 1.00 X 0 0 0 ANITA CASE CHIEF EXECUTIVE OFFICER 40.00 X 160433 0 11225 BRYAN MARTIN CHIEF FINANCIAL OFFICER 40.00 X 110244 0 10526 J CRAIG CHARLES CHIEF MEDICAL OFFICER 40.00 X 239802 0 18619 SUSAN COLLINS DENTIST 40.00 X 165214 0 18259 LUKE SPANGLER PHYSICIAN 40.00 X 155823 0 3254 BRITTANY WATSON PHYSICIAN 40.00 X 135705 0 8004 DARLENE CHRISTMON-WASHINGTON NURSE PRACTITIONER 40.00 X 124799 0 17797 1092020 0 87684 10 0 1 0 LABORATORY CORPORATION OF AMERICA PO BOX 2270 BURLINGTON NC 27216 MEDICAL LAB SERVICES 291585 SERVCOMUSA LLC 3284 LAKE WYLIE DRIVE ROCK HILL SC 29730 INFORMATION TECHNOLOGY SERVICES 224799 MEDCLAIM COMPREHENSIVE 18264 LAKE HARBOR LANE PRAIRIEVILLE LA 70769 REVENUE CYCLE MANGEMENT 146142 3 6729497 490813 36123 7220310 340B PHARMACY REVENUE 624100 14151590 14151590 PATIENT SERVICE REVENU 624100 2344071 2344071 16495661 662 662 37738 0 37738 37738 37738 MISCELLANEOUS REVENUE 900099 29479 29479 29479 23783850 16495661 0 67879 X 1559219 1559219 270677 31684 234180 4813 4725014 4486228 237462 1324 671770 612478 58443 849 373319 337652 35209 458 35569 35569 29596 29596 3087159 3042982 44121 56 27331 27331 136934 121857 14902 175 368124 337650 30206 268 156348 98206 58134 8 21013 11528 9485 35638 21466 14170 2 56162 34101 22061 409276 362178 47016 82 44371 33621 10724 26 PHARMACEUTICALS 8844942 8844942 SUPPLIES 546513 520483 25997 33 OTHER 86106 33856 51725 525 21485081 20490131 986331 8619 6850041 8396587 965901 1580273 1057882 986896 95019 94865 129912 149833 8957324 1911303 7146735 7046021 4975360 4349775 21220850 22604250 1717325 1939742 319167 201211 1610750 1186910 3647242 3327863 X 17573608 19276387 17573608 19276387 21220850 22604250 2298769 -595990 0 X X 0 1 X 1 1 1 X 3769554 3906068 5823703 5903475 7220310 26623110 21600 21600 22950 22950 27450 116550 3791154 3927668 5846653 5926425 7247760 26739660 26739660 22787 38515 35062 38340 38400 173104 7738 3981 52703 58889 29479 152790 27065554 73451377 0.98800 0.98900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 284126 284126 7394948 924187 6470761 65772 31059 34713 1158995 956057 202938 53483 53483 7046021 X 23336789 -595990 148929 -447061 23783850 0 23783850 21634010 148929 148929 21485081 0 21485081 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OF OTHER TAXES. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE AN ORGANIZATION TO RECOGNIZE A TAX BENEFIT OR EXPENSE FROM UNCERTAIN TAX POSITION IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT BELIEVES THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022 OR 2021. 1 OFF-SITE SPECIALITY CARE VISITS 630 49026 0 FAIR MARKET VALUE MEDICATIONS 423 22477 0 FAIR MARKET VALUE INSURANCE PREMIUMS/COPAYS 395 1377988 0 FAIR MARKET VALUE MEDICAL SUPPLIES 92 18088 0 FAIR MARKET VALUE HOUSING 21 14660 0 FAIR MARKET VALUE TRANSPORTATION 354 22240 0 FAIR MARKET VALUE FOOD ASSISTANCE, TRANSLATOR SERVICES, OTHER ASSISTANCE 220 54740 0 FAIR MARKET VALUE PART I, LINE 2: AFFINITY HEALTH CENTER PROVIDES ASSISTANCE TO CLIENTS BASED ON NEED FOR EXPENSES SUCH AS SPECIALTY CARE, MEDICATIONS, HOUSING, INSURANCE PREMIUMS, EMERGENCY FOOD, AND TRANSPORTATION TO MEDICAL APPOINTMENTS. PAYMENTS ARE MADE DIRECTLY TO OUTSIDE SERVICE PROVIDERS RATHER THAN TO CLIENTS. AHC REQUIRES SUPERVISORY APPROVAL OF ALL PAYMENT REQUESTS. THE FINANCE DEPARTMENT VERIFIES APPROPRIATE DOCUMENTATION IS SUBMITTED FOR EXPENDITURES. PRIOR TO SIGNING CHECKS, THE CHIEF EXECUTIVE OFFICER REVIEWS ALL DOCUMENTATION TO ENSURE APPROPRIATE USE OF FUNDS. AN OFFICER OF THE BOARD OF DIRECTORS SIGNS OFF ON ANY PAYMENTS OVER $5,000. X X X X 0 0 0 0 0 0 0 0 0 J CRAIG CHARLES CHIEF MEDICAL OFFICER 231164 0 8638 0 0 0 4500 0 14119 0 258421 0 0 0 SUSAN COLLINS DENTIST 163816 0 1398 0 0 0 3254 0 15005 0 183473 0 0 0 ANITA CASE CHIEF EXECUTIVE OFFICER 158809 0 1624 0 0 0 3181 0 8044 0 171658 0 0 0 LUKE SPANGLER PHYSICIAN 154425 0 1398 0 0 0 3254 0 0 0 159077 0 0 0 X VACCINES 12 22966 COST X PROGRAM SUPPLIES 7 12177 COST X GIFT CARDS 1 980 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS GIVEN ANNUALLY TO THE ENTIRE BOARD FOLLOWING REVIEW BY MANAGEMENT IN ITS ENTIRETY FOR FULL REVIEW. FORM 990, PART VI, SECTION B, LINE 12C AFFINITY HEALTH CENTER (AHC) HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED WITH NEW BOARD MEMBERS DURING BOARD ORIENTATION. AT THAT TIME BOARD MEMBERS INDICATE IN WRITING ANY CONFLICTS OF INTEREST WITH AHC. OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 AFFINITY HEALTH CENTER (AHC) HIRED AN INDEPENDENT HUMAN RESOURCES CONCULTANT IN 2022 TO CONDUCT A SALARY SURVEY AND RECOMMEND SALARY RENAGES FOR ALL POSITIONS INCLUDING THE CHEIF EXECUTIVE OFFICER (CEO). IN 2022 AHC'S BOARD OF DIRECTORS APPROVED THE REVISED RANGES. THE ANNUAL PERFORMANCE REVIEWS FOR OTHER OFFICERS OR KEY EMPLOYEES IS CONDUCTED IN ACCORDANCE WITH AHC POLICY BY APPROPRIATE SUPERVISORS. DETERMINATION OF ANNUAL COMPENSATION ADJUSTMENTS WITHIN APPROVED RANGES IS DETERMINED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 18 AFFINITY HEALTH CENTER PROVIDES THESE DOCUMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AFFINITY HEALTH CENTER PROVIDES THESE DOCUMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G DENTIST ON-SITE: PROGRAM SERVICE EXPENSES 24,228. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,228. LAB SERVICES: PROGRAM SERVICE EXPENSES 329,590. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 329,590. 340B PROGRAM CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,368,978. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,368,978. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 320,186. MANAGEMENT AND GENERAL EXPENSES 44,121. FUNDRAISING EXPENSES 56. TOTAL EXPENSES 364,363.